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General NPI Number Information
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NPI Number | 1285279752
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Entity Type | Organization
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Legal Business Name | PARKLANE FAMILY CHIROPRACTIC LLC
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Dates
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Enumeration Date | 11/08/2019
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Last Update Date | 11/26/2019
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Provider Practice Location Address
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Address Line | 5308 PARKLANE DR STE 5
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City | KEARNEY
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State | NE
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Zip | 68847-8629
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Country | US
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Telephone | 308-708-7671
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Fax |
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Provider Business Mailing Address
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Address Line | 5308 PARKLANE DR STE 5
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City | KEARNEY
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State | NE
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Zip | 68847-8629
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Country | US
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Telephone | 308-708-7671
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Fax |
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | DR. BENJAMIN SACHS
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Credential | D.C.
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Telephone | 308-708-7671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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